Skip to main content
Log in

Stone Management for the Patient on Anticoagulation

  • Endourology (V Bird, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Use of chronic anticoagulation has increased recently, leading to more surgical intervention on patients taking chronic anticoagulation. This review discusses anticoagulation and the management of urolithiasis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as:• Of importance

  1. Rowen SB, Bailey DN, Bublitz CE, Anderson RJ. Trends in Anticoagulation for Atrial Fibrillation in the U.S.: An Analysis of the National Ambulatory Medical Care Survey Database. J Am Coll Cardiol. 2007;49:1561–5.

    Article  Google Scholar 

  2. Starr A, Fessler CL, Grunkemeier G, He GW. Heart Valve Replacement Surgery: Past, Present and Future. Clin Exp Pharmacol Physiol. 2002;29(8):735–8.

    Article  PubMed  CAS  Google Scholar 

  3. Spertus JA, Kettelkamp R, Vance C, et al. Prevalence, predictors, and outcomes of premature discontinuation of thienopyridine therapy after drug-eluting stent placement: results from the PREMIER registry. Circulation. 2006;113:2803–9.

    Article  PubMed  CAS  Google Scholar 

  4. King SB, Smith SC, Hirshfeld JW, et al. 2007 focused Update of the ACC/AHA > SCAI 2005 Guideline Update for Percutaneous Coronary Intervention. Circulation. 2008;117:261–5.

    Article  PubMed  Google Scholar 

  5. Shpitz B, Plotkin E, Spindel Z, et al. Should Aspirin Therapy be Withheld Before Insertion and/or Removal of a Permanent Peritoneal Dialysis Catheter? Am Surg. 2002;68(9):762–4.

    PubMed  Google Scholar 

  6. O’Riordan JM, Margey RJ, Blake G, O’Connell PR. Antiplatelet Agents in the Perioperative Period. Arch Surg. 2009;144(1):69–76.

    Article  PubMed  Google Scholar 

  7. Oscarsson A, Gupta A, Fredrikson M, et al. To Continue or Discontinue Aspirin in the Perioperative Period: A randomized Controlled Clinical Trial. BJA. 2010;104(3):305–12.

    Article  PubMed  CAS  Google Scholar 

  8. Preminger GM, Assimos DG, Lingeman JE, et al. Chapter 1: AUA Guideline on Management of Staghorn Calculi: Diagnosis and Treatment Recommendations. J Urol. 173: 1991

  9. Kessaris DN, Bellman GC, Pardalidis NP, Smith AG. Management of Hemorrhage after Percutaneous Renal Surgery. J Urol. 1995;153:604–806.

    Article  PubMed  CAS  Google Scholar 

  10. Semins MJ, Bartik L, Chew BH, et al. Multicenter Analysis of Postoperative CT Findings after Percutaneous Nephrolithotomy: Defining Complication Rates. Urology. 2011;78(2):291–4.

    Article  PubMed  Google Scholar 

  11. Lee WJ, Smith AD, Cubelli GH, et al. Complications of Percutaneous Nephrolithotomy. AJR AM J Roentgenol. 1987;148(1):177–80.

    PubMed  CAS  Google Scholar 

  12. • Kefer JC, Turna B, Stein RJ, Desai MM. Safety and Efficacy of Percutaneous Nephrostolithotomy in Patients on Anticoagulant Therapy. J Urol. 2009;181:144–8. This is a good review of the use of anticoagulation in PCNL patients and describes preoperative management algorithm.

    Article  PubMed  Google Scholar 

  13. Gross AJ, Bach T. Preoperative Percutaneous Stone Surgery in Patients Receiving Anticoagulant Therapy. J Endourol. 2009;23(10):1563–5.

    Article  PubMed  Google Scholar 

  14. Van Cangh P, Smith AD. Management of Difficult Kidney Stones. J Endourol. 2007;21(5):478–89.

    Article  PubMed  Google Scholar 

  15. Douketis JD, Berger PB, Dunn AS. The Perioperative Management of Antithrombotic Therapy: American College of Chest Surgeons Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133:299S–339S.

    Article  PubMed  CAS  Google Scholar 

  16. Nutescu EA, Spinler SA, Wittkowsky A, et al. Low-Molecular Weight Heparins in Renal Impairment and Obesity: Available Evidence and Clinical Practice Recommendations Across Medical and Surgical Settings. Ann Pharmacother. 2009;43(6):1064–83.

    Article  PubMed  CAS  Google Scholar 

  17. • Turna B, Stein RJ, Smaldone MC, et al. Safety and Efficacy of Flexible Ureterorenoscopy and Holmium:YAG Lithotripsy for Intrarenal Stones in Anticoagulated Cases. J Urol 179: 1415-1419 (2008). This is the only paper to discuss ureteroscopic management of stones in patients on anticoagulation.

    Article  PubMed  Google Scholar 

  18. Skolarikos AA, Papatsoris AG, Mitsogiannis IC, et al. Current Status of Ureteroscopic Treatment for Urolithiasis. Int J Urol. 2009;16:713–7.

    Article  PubMed  Google Scholar 

  19. Eberli D, Chassot PG, Sulser T, et al. Urological Surgery and Antiplatelet Drugs after Cardiac and Cerebrovascular Accidents. J Urol. 2010;183(6):2128–36.

    Article  PubMed  Google Scholar 

  20. Inoue H, Kamphausen T, Bajanowski T, Trubner K. Massive Retroperitoneal Hemorrhage after Extracorporeal Shock Wave Lithotripsy. Int J Legal Med. 2011;125(1):75–9.

    Article  PubMed  Google Scholar 

  21. Katz R, Admon D, Pode D. Life-Threatening Retroperitoneal Hematoma Caused by Anticoagulant Therapy for Myocardial Infarction after SWL. J Endourol. 1997;11(1):23–5.

    Article  PubMed  CAS  Google Scholar 

Download references

Disclosures

J. M. Riley: none. Dr. Timothy Averch has served as a consultant for Bard Medical.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julie M. Riley.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Riley, J.M., Averch, T.D. Stone Management for the Patient on Anticoagulation. Curr Urol Rep 13, 187–189 (2012). https://doi.org/10.1007/s11934-012-0243-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11934-012-0243-3

Keywords

Navigation